Psychiatric advance directives allow people living with mental health conditions to express their preferences and needs regarding care and support before a crisis occurs. Rooted in a framework of psychosocial rehabilitation and recovery, they promote empowerment, shared decision-making, and a more collaborative care relationship. This article offers theoretical and practical guidance for those wishing to learn about these tools, use them, or get involved in their implementation.
People with autism in complex situations often have somatic needs that go unrecognized. An analysis of a prospective one-year activity dataset highlights the essential role of advanced practice mental health nurses: clinical assessments, prevention, care pathway coordination, and team support. The integration of somatic vigilance, understanding of the neurodevelopmental profile, and care organization appears to be critical. A clinical case study illustrates the impact of this role in the early detection of a serious complication and in ensuring continuity of care.
Recovery in psychiatry applies to only a small number of patients; it is more common to speak of remission. The concept of recovery has fostered a more positive view of the course of mental disorders and, in doing so, has challenged the practices and attitudes of psychiatric teams. The central role of the patient in this approach is becoming increasingly evident to healthcare teams. However, this model must be neither prescriptive nor elitist.
For the past five years, the Rouvray Hospital Center has offered a patient therapeutic education program designed for individuals with borderline personality disorder. Based on an integrative therapeutic approach, the program aims to strengthen participants' internal resources and autonomy in order to facilitate their reintegration into social, emotional, and professional life.
Recovery in mental health does not mean returning to life as it was before, but rather creating a personal path to regain control over one's life, despite the illness. Based on hope, autonomy, and the recognition of each person's strengths, it lies at the heart of peer support. Whether individually or in groups, peer health mediators - whether recovered or still on the path to recovery - share their experiences in a more horizontal relationship to restore confidence, open up possibilities, and offer a perspective that complements that of caregivers, in support of recovery-oriented care. Feedback.
Mental health professionals are confronted with chronic conditions in their clinical practice. What patients experience outside of crisis periods is of concern to them, just as it is to every citizen. In the current context, where the healthcare system has been stretched to its limits, the concept of recovery is gaining momentum. It is important to ask: what does this signify?
The treatment of anorexia nervosa is often a long-term process, involving a series of care stages both in and out of the hospital. The presentation of the clinical case of a patient who has become a volunteer peer supporter reflects a long journey of care and life. Approaching care as a supportive rehabilitation process is essential given the risk of social withdrawal associated with this disorder.
Supporting sex offenders is a complex issue that lies at the intersection of justice and care. The Good Lives Model, developed in the 2000s, offers an alternative approach to risk-based models. Rather than focusing solely on preventing recidivism, it aims to help individuals build a more fulfilling life by drawing on their strengths and fundamental needs. This humanistic, positive approach, already incorporated into several international programs, fosters the therapeutic alliance, commitment, and the process of desistance.
The development of soothing care to avoid coercion and the implementation of psychosocial rehabilitation care are integral to our mental health policies. The question arises as to what extent these approaches conceptually contribute to alleviating tensions within long-term inpatient units. Emotion regulation is also a key focus in managing interpersonal relationships. Description and feedback on the implementation of a combined program of psychoeducation and social skills training within Epsylan's discharge preparation units.
